Jasmine Charlissa Sledge, LLMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6851107305 Issued in MI

Practice address

2401 S Linden Rd
Flint, MI 48532-9800

Phone

(800) 395-3223

Fax

(833) 329-6632

NPI assigned

Apr 29, 2017

Reactivated

May 13, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Specialty

Clinical Social Worker

Education

Michigan State University College of Human Medicine, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1493424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654560000000",
    "number": "1336674142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 W LAKE LANSING RD STE C125",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488238485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 S LINDEN RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485329800",
            "telephone_number": "800-395-3223",
            "fax_number": "833-329-6632"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "233 Fulton St E Ste 524",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495033269",
            "country_code": "US",
            "telephone_number": "616-335-0638",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SLEDGE",
        "first_name": "JASMINE",
        "middle_name": "CHARLISSA",
        "name_prefix": "Ms.",
        "credential": "LLMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-29",
        "last_updated": "2022-06-07",
        "certification_date": "2022-05-13",
        "deactivation_date": "2022-03-19",
        "reactivation_date": "2022-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801107305",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6851107305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Steven Slate
• Laketra Slaughter
• Lecole Slaughter
• Linda Marie Slavik, CRNA
• Charlita Sledge
• Sleep Centers of America, LLC
• Sleepsmith Staffing LLC
• Kristy Ann Slesinski, P.A.-C.
• Rebecca Slick, RD
• Drake Sluchak

• Clinical Social Worker in Flint, MI
• Providers in Flint, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.